Scrotal Itching and Foreskin Swelling: Causes and Treatments

Q: Scrotal Itching and Foreskin Swelling: Causes and Treatments

Hello： <br>1. <br>A few days ago, I experienced itching in the scrotum and scratched it a few times. <br>After a few days, I noticed that the scrotum became swollen and still itches, with some areas slightly broken and oozing, causing a stinging sensation when they rub against th

Issues related to the foreskin, glans, penis, and scrotum?

Hello, Doctor.
I have been experiencing a series of issues over the past few days...
1.
A few days ago, I noticed itching in my scrotum, and after scratching it a few times, I found that my scrotum became swollen.
It still itches, and I have slightly broken the skin, causing some fluid to accumulate, which leads to a stinging sensation when it rubs against the broken skin.
Over the past two or three days, I have also noticed slight swelling in the lower right area of my foreskin, which has now become more pronounced.
What could be causing this condition? How can I return to normal health without a consultation? Do you have any recommended medications or ointments? 2.
The swelling in the lower foreskin is not painful, and I'm unsure if there is redness or swelling.
My foreskin is naturally a darker color, and now it appears slightly darker.
My penis seems to have shrunk, and I haven't engaged in sexual activity for a long time.
I did masturbate once recently, and I wash my penis daily, pushing back the foreskin to clean the glans and foreskin.
After showering, I do not dry it before pushing the foreskin back.
I have a naturally long foreskin, which covers the glans when not erect, but I can see a bit of the glans when erect.
I can push back the foreskin to fully expose the glans regardless of whether I am erect or not.
How can I determine if the swelling of the foreskin is due to edema or an infection? How can I restore normal health without a consultation? Do you have any recommended medications or ointments? ----- End -----

wei, 30~39 year old female. Ask Date: 2023/10/15

Dr. Jian Weihong reply Urology

Hello:
1.
A few days ago, I experienced itching in the scrotum and scratched it a few times.
After a few days, I noticed that the scrotum became swollen and still itches, with some areas slightly broken and oozing, causing a stinging sensation when they rub against the broken skin.
In the last two to three days, I noticed slight swelling on the lower right side of the foreskin, which has now become more pronounced.
What could this condition be? --> If there is broken skin and it becomes swollen, it is likely an infection, and it will continue to enlarge if I do not seek medical attention.
How can I return to normal health? --> In the event of an infection, what medications or ointments do you recommend? ---> This area has not been examined, so I cannot provide recommendations.
2.
The swelling on the foreskin is not painful, and I am unsure if there is redness or swelling.
My foreskin is darker than my skin tone, and it appears to be slightly darker now.
My penis seems to have shrunk; I have not engaged in sexual activity for a long time, and I recently masturbated once.
I wash daily and push back the foreskin to clean the glans and foreskin.
After showering, I do not dry it before pushing the foreskin back.
I have a long foreskin, which covers the glans when not erect, but I can see a bit of the glans when erect.
I can push back the foreskin to fully expose the glans regardless of whether I am erect.
How can I determine if the swelling of the foreskin is due to edema or an infection? --> If there is broken skin and it becomes swollen, it is likely an infection, and it will continue to enlarge (usually accompanied by redness).
How can I return to normal health without seeking medical attention? Same question regarding recommended medications or ointments? Same as above.

Reply Date: 2023/10/15

More Info

Understanding scrotal itching and foreskin swelling can be quite concerning, and it’s important to address these symptoms properly. Based on your description, it seems you are experiencing a combination of scrotal itching, swelling of the scrotum, and swelling of the foreskin, which may be indicative of several potential conditions.

Possible Causes
1. Infection: One of the most common causes of scrotal itching and swelling is an infection. This could be a fungal infection (like candidiasis), a bacterial infection, or a sexually transmitted infection (STI) such as herpes or gonorrhea. The fact that you have noticed a discharge and some skin breakdown suggests that an infection could be present.

2. Dermatitis: Contact dermatitis, which can occur due to irritation from soaps, detergents, or even friction from clothing, may also lead to itching and inflammation. This could explain the initial itching and subsequent swelling.

3. Phimosis: Given that you mentioned having a longer foreskin, phimosis (a condition where the foreskin cannot be easily retracted) could lead to irritation and swelling, especially if hygiene is compromised.

4. Allergic Reaction: An allergic reaction to products used in the genital area, such as lotions, soaps, or condoms, can also cause itching and swelling.

5. Lichen Sclerosus: This is a less common condition that can cause white patches and scarring on the skin of the genital area, leading to discomfort and swelling.

Recommended Treatments
1. Topical Treatments: Over-the-counter antifungal creams (like clotrimazole or miconazole) can be effective if a fungal infection is suspected. If it’s dermatitis, a mild hydrocortisone cream may help reduce inflammation and itching. However, be cautious with steroid creams, as prolonged use can thin the skin.

2. Antibiotics: If a bacterial infection is suspected, a healthcare provider may prescribe topical or oral antibiotics.
3. Good Hygiene: Maintain good hygiene by gently washing the area with mild soap and water. Ensure the area is thoroughly dried after washing to prevent moisture buildup, which can exacerbate fungal infections.

4. Avoid Irritants: Identify and avoid any potential irritants, such as harsh soaps or laundry detergents. Wearing loose-fitting, breathable underwear can also help reduce irritation.

5. Consult a Healthcare Provider: Given the symptoms you are experiencing, especially the swelling and potential skin breakdown, it is advisable to consult a healthcare provider. They can perform a physical examination, possibly conduct tests (like a swab or culture), and provide a definitive diagnosis and treatment plan.

When to Seek Immediate Care
If you experience severe pain, fever, or if the swelling worsens, it is important to seek immediate medical attention. These could be signs of a more serious condition that requires prompt treatment.

Conclusion
While there are several potential causes for your symptoms, self-diagnosis can be challenging. It is crucial to consult a healthcare provider for an accurate diagnosis and appropriate treatment. In the meantime, maintaining good hygiene and avoiding irritants can help alleviate some discomfort. Remember, early intervention can prevent complications and lead to a quicker recovery.

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